CPCS exam Questions with Correct Answers
What two accreditors state: a hospital may not rely solely on board
certification when considering practitioner for medical staff
membership? Correct Answer-HFAP, CMS
According to JC & HFAP name four approved sources PSV for Medical
Education Correct Answer-Medical School, AMA, ECFMG, AOA
According to NCQA practitioners must be notified of credentialing
decision within how many days? Correct Answer-60 Days
The DHHS mails a copy of the NPDB report to the named provider. If
the provider wishes to dispute the reports accuracy, the provider has how
many days to do so? Correct Answer-60 Days
According to URAQ, within how many days must the practitioner be
notified of credentialing decisions? Correct Answer-10 Days
How many days does a practitioner have to dispute an NPDB report
accuracy Correct Answer-60 Days
Which accrediting body requires five year verification of malpractice
history Correct Answer-NCQA
What is commonly used source for verifying malpractice history Correct
Answer-NPDB
,According to the JC a fair hearing and appeals process as described in
the medical staff bylaws is available to whom? Correct Answer-Medical
staff members and non-members holding clinical privileges
T/F Only the highest of training must be verified according to NCQA
Correct Answer-True
According to the Joint Commission a peer recommendation should
address what six competencies? Correct Answer-Medical knowledge\
nTechnical & clinical skill\nclinical judgment\ninterpersonal skills\
ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are available for
credentialing a the original site? Correct Answer-Full credentialing, use
of the distant sites credentialing
According to JC what is included in the process of planning and
implementing privileges? Correct Answer-Develop & approve
procedure list\nProcess the application\nEvaluate applicant specific
information\nSubmit recommendations to governing body for applicant
specific delineated privileges\nNotify the applicant, relevant personnel\
nMonitor the use of privileges
Are payments made by a physician in a malpractice claim reportable to
the NPDB? Correct Answer-No
,Who requires Peer References Correct Answer-JC, HFAP, AAAHC
Who reappoints Correct Answer-JC, HFAP, NCQA, URAC
Who requires an attestation? Correct Answer-NCQA, URAC, AAAHC
Who requires education verification? Correct Answer-JC, HFAP,
URAC, AAAHC
Who requires statement regarding felony convictions? Correct Answer-
HFAP, NCQA, AAAHC
Attestation must state that the information submitted is complete &
correct Correct Answer-NCQA, AAAHC
Attestation must state that the information submitted is complete &
accurate Correct Answer-URAC
Attestation must include inquiry regarding illegal drug use? Correct
Answer-NCAQ
Attestation must include inquiry regarding inability to perform essential
functions? Correct Answer-NCQA
, Attestation must include inquiry regarding history or loss or limitations
of licensure or privileges or disciplinary actions? Correct Answer-
NCQA
Attestation must include inquiry regarding current malpractice
coverage? Correct Answer-NCQA
Attestation must include inquiry regarding felony convictions? Correct
Answer-NCQA
Applicant must attest to limitations on ability to perform functions of the
position with or without accomodation, if any Correct Answer-NCQA
Applicant must attest to lack of present illegal drug use Correct Answer-
AAAHC
Applicant must attest to history or loss of license and felony convictions,
if any Correct Answer-AAAHC
Applicant must attest to history of loss or limitations of privileges or
disciplinary actions, if any Correct Answer-AAAHC
Applicant must attest to current malpractice insurance coverage? Correct
Answer-AAAHC
What two accreditors state: a hospital may not rely solely on board
certification when considering practitioner for medical staff
membership? Correct Answer-HFAP, CMS
According to JC & HFAP name four approved sources PSV for Medical
Education Correct Answer-Medical School, AMA, ECFMG, AOA
According to NCQA practitioners must be notified of credentialing
decision within how many days? Correct Answer-60 Days
The DHHS mails a copy of the NPDB report to the named provider. If
the provider wishes to dispute the reports accuracy, the provider has how
many days to do so? Correct Answer-60 Days
According to URAQ, within how many days must the practitioner be
notified of credentialing decisions? Correct Answer-10 Days
How many days does a practitioner have to dispute an NPDB report
accuracy Correct Answer-60 Days
Which accrediting body requires five year verification of malpractice
history Correct Answer-NCQA
What is commonly used source for verifying malpractice history Correct
Answer-NPDB
,According to the JC a fair hearing and appeals process as described in
the medical staff bylaws is available to whom? Correct Answer-Medical
staff members and non-members holding clinical privileges
T/F Only the highest of training must be verified according to NCQA
Correct Answer-True
According to the Joint Commission a peer recommendation should
address what six competencies? Correct Answer-Medical knowledge\
nTechnical & clinical skill\nclinical judgment\ninterpersonal skills\
ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are available for
credentialing a the original site? Correct Answer-Full credentialing, use
of the distant sites credentialing
According to JC what is included in the process of planning and
implementing privileges? Correct Answer-Develop & approve
procedure list\nProcess the application\nEvaluate applicant specific
information\nSubmit recommendations to governing body for applicant
specific delineated privileges\nNotify the applicant, relevant personnel\
nMonitor the use of privileges
Are payments made by a physician in a malpractice claim reportable to
the NPDB? Correct Answer-No
,Who requires Peer References Correct Answer-JC, HFAP, AAAHC
Who reappoints Correct Answer-JC, HFAP, NCQA, URAC
Who requires an attestation? Correct Answer-NCQA, URAC, AAAHC
Who requires education verification? Correct Answer-JC, HFAP,
URAC, AAAHC
Who requires statement regarding felony convictions? Correct Answer-
HFAP, NCQA, AAAHC
Attestation must state that the information submitted is complete &
correct Correct Answer-NCQA, AAAHC
Attestation must state that the information submitted is complete &
accurate Correct Answer-URAC
Attestation must include inquiry regarding illegal drug use? Correct
Answer-NCAQ
Attestation must include inquiry regarding inability to perform essential
functions? Correct Answer-NCQA
, Attestation must include inquiry regarding history or loss or limitations
of licensure or privileges or disciplinary actions? Correct Answer-
NCQA
Attestation must include inquiry regarding current malpractice
coverage? Correct Answer-NCQA
Attestation must include inquiry regarding felony convictions? Correct
Answer-NCQA
Applicant must attest to limitations on ability to perform functions of the
position with or without accomodation, if any Correct Answer-NCQA
Applicant must attest to lack of present illegal drug use Correct Answer-
AAAHC
Applicant must attest to history or loss of license and felony convictions,
if any Correct Answer-AAAHC
Applicant must attest to history of loss or limitations of privileges or
disciplinary actions, if any Correct Answer-AAAHC
Applicant must attest to current malpractice insurance coverage? Correct
Answer-AAAHC
